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目的探讨70岁以上高龄胃肠道肿瘤患者的围手术期处理方案。方法回顾性分析2006年1月至2010年1月收治的53例胃肠道肿瘤手术患者临床资料进行分析。结果急诊手术2例,择期手术51例。根治性手术38例,姑息性切除手术11例,短路手术3例,乙状结肠造瘘术1例。术后40例入ICU病房监护治疗。50例顺利出院,3例死亡。结论对于胃肠道肿瘤患者,年龄并非手术禁忌症的绝对指标。术前需全面评估心肺等全身各系统器官功能全身营养状况,术后心肺系统的良好护理及营养支持的合理给予,以及手术时机的选择都是确保手术安全的有效措施。
Objective To investigate the perioperative management of elderly patients over 70 years with gastrointestinal cancer. Methods The clinical data of 53 patients with gastrointestinal cancer treated from January 2006 to January 2010 were retrospectively analyzed. Results Emergency surgery in 2 cases, elective surgery in 51 cases. There were 38 cases of radical surgery, 11 cases of palliative resection, 3 cases of short-circuit surgery and 1 case of sigmoidostomy. 40 cases into the ICU ward care treatment. 50 patients were discharged and 3 patients died. Conclusion For patients with gastrointestinal tumors, age is not an absolute measure of surgical contraindications. Before surgery, a comprehensive assessment of systemic nutritional status of various organs and organs such as cardiopulmonary system, proper care of cardiopulmonary system and proper nutrition support after surgery, as well as the choice of timing of surgery are all effective measures to ensure surgical safety.